Sample PLR Content Directory Saint Vincent and the Grenadines: 2016

Monday, October 3, 2016

Comtrex Cold and Flu Maximum Strength Liquid

Generic Name: acetaminophen, chlorpheniramine, dextromethorphan, and pseudoephedrine (a SEET a MIN oh fen, KLOR fen EER a meen, DEX troe meth OR fan, SOO doe ee FED rin)

Brand Names: Alka-Seltzer Plus Cough and Cold Liquigel, Children's Tylenol Flu, Comtrex Cold and Flu Maximum Strength Liquid, Comtrex Cold and Flu Maximum Strength Tablet, Robitussin Flu, Robitussin Honey Flu Nighttime, Theraflu (pseudoephedrine) Cold & Cough, Theraflu Flu & Cough, Theraflu Night Cough and Cold and Flu, Theraflu Nightime Maximum Strength, Theraflu Severe Cold & Congestion, Triaminic Cold and Fever, Triaminic Flu, Cough & Fever, Vicks 44 Cold, Flu and Cough, Vicks Formula 44M

What is Comtrex Cold and Flu Maximum Strength Liquid (acetaminophen, chlorpheniramine, dextromethorphan, and pseudoephedrine)?

Acetaminophen is a pain reliever and fever reducer.

Chlorpheniramine is an antihistamine that reduces the natural chemical histamine in the body. Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose.

Dextromethorphan is a cough suppressant. It affects the signals in the brain that trigger cough reflex.

Pseudoephedrine is a decongestant that shrinks blood vessels in the nasal passages. Dilated blood vessels can cause nasal congestion (stuffy nose).

The combination of acetaminophen, chlorpheniramine, dextromethorphan, and pseudoephedrine is used to treat headache, fever, body aches, runny or stuffy nose, sneezing, itching, watery eyes, and sinus congestion caused by allergies, the common cold, or the flu.

Dextromethorphan will not treat a cough that is caused by smoking.

Acetaminophen, chlorpheniramine, dextromethorphan, and pseudoephedrine may also be used for purposes not listed in this medication guide.

What is the most important information I should know about this medication?

Do not take more of this medication than is recommended. An overdose of acetaminophen can damage your liver or cause death. Do not take this medication without a doctor's advice if you have ever had alcoholic liver disease (cirrhosis) or if you drink more than 3 alcoholic beverages per day. Do not use cold medicine if you have untreated or uncontrolled diseases such as glaucoma, asthma, emphysema, chronic bronchitis, high blood pressure, heart disease, coronary artery disease, or overactive thyroid. Avoid drinking alcohol. It may increase your risk of liver damage while taking acetaminophen. Do not use this medication if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects. Ask a doctor or pharmacist before using any other cold, allergy, pain, or sleep medication. Acetaminophen (sometimes abbreviated as APAP) is contained in many combination medicines. Taking certain products together can cause you to get too much acetaminophen which can lead to a fatal overdose.

What should I discuss with my healthcare provider before taking this medication?

Do not take this medication without a doctor's advice if you have ever had alcoholic liver disease (cirrhosis) or if you drink more than 3 alcoholic beverages per day. You may not be able to take medicine that contains acetaminophen. Do not use cold medicine if you have untreated or uncontrolled diseases such as glaucoma, asthma, emphysema, chronic bronchitis, high blood pressure, heart disease, coronary artery disease, or overactive thyroid. You should not use this medication if you have severe constipation, a blockage in your stomach or intestines, or if you are unable to urinate. Do not use a cold medicine if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects.

Ask a doctor or pharmacist if it is safe for you to take this medicine if you have:

liver disease, cirrhosis, or a history of alcoholism;

a blockage in your digestive tract (stomach or intestines);

diabetes;

kidney disease;

epilepsy or other seizure disorder;

cough with mucus, or cough caused by emphysema or chronic bronchitis;

enlarged prostate or urination problems;

pheochromocytoma (an adrenal gland tumor); or

if you take potassium (Cytra, Epiklor, K-Lyte, K-Phos, Kaon, Klor-Con, Polycitra, Urocit-K).

It is not known whether acetaminophen, chlorpheniramine, dextromethorphan, and pseudoephedrine will harm an unborn baby. Do not use cold medicine without medical advice if you are pregnant. This medication may pass into breast milk and may harm a nursing baby. Do not use cold medicine without medical advice if you are breast-feeding a baby.

How should I take Comtrex Cold and Flu Maximum Strength Liquid (acetaminophen, chlorpheniramine, dextromethorphan, and pseudoephedrine)?

Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Cold medicine is usually taken only for a short time until your symptoms clear up.

Do not take more of this medication than is recommended. An overdose of acetaminophen can damage your liver or cause death.

Measure liquid medicine with a special dose-measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

The chewable tablet must be chewed thoroughly before you swallow it.

Dissolve one packet of the powder in at least 4 ounces of water. Stir this mixture and drink all of it right away.

Do not give this medication to a child younger than 4 years old. Always ask a doctor before giving a cough or cold medicine to a child. Death can occur from the misuse of cough and cold medicines in very young children.

Do not take for longer than 7 days in a row. Stop taking the medicine and call your doctor if you still have a fever after 3 days of use, you still have pain after 7 days (or 5 days if treating a child), if your symptoms get worse, or if you have a skin rash, ongoing headache, or any redness or swelling.

If you need surgery or medical tests, tell the surgeon or doctor ahead of time if you have taken a cold medicine within the past few days. Store at room temperature away from moisture and heat. Do not allow liquid medicine to freeze.

What happens if I miss a dose?

Since cold medicine is taken when needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1 800 222 1222. An overdose of acetaminophen can be fatal.

The first signs of an acetaminophen overdose include loss of appetite, nausea, vomiting, stomach pain, sweating, and confusion or weakness. Later symptoms may include pain in your upper stomach, dark urine, and yellowing of your skin or the whites of your eyes.

What should I avoid while taking this medication?

Ask a doctor or pharmacist before using any other cold, allergy, pain, or sleep medication. Acetaminophen (sometimes abbreviated as APAP) is contained in many combination medicines. Taking certain products together can cause you to get too much acetaminophen which can lead to a fatal overdose. Check the label to see if a medicine contains acetaminophen or APAP. Avoid drinking alcohol. It may increase your risk of liver damage while taking acetaminophen. This medicine may cause blurred vision or impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly.

This medication side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using this medication and call your doctor at once if you have a serious side effect such as:

fast or pounding heartbeats, severe restless feeling or nervousness;

mood changes, confusion, hallucinations, unusual thoughts or behavior;

tremor, seizure (convulsions);

easy bruising or bleeding, unusual weakness;

urinating less than usual or not at all;

feeling short of breath;

nausea, pain in your upper stomach, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of your skin or eyes); or

dangerously high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, chest pain, shortness of breath, uneven heartbeats, seizure).

Less serious side effects may include:

dizziness, drowsiness;

dry mouth, nose, or throat;

constipation or diarrhea;

blurred vision; or

feeling nervous or restless.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Comtrex Cold and Flu Maximum Strength Liquid (acetaminophen, chlorpheniramine, dextromethorphan, and pseudoephedrine)?

Ask a doctor or pharmacist before using this medicine if you regularly use other medicines that make you sleepy (such as narcotic pain medication, sedatives, sleeping pills, muscle relaxers, and medicine for seizures, depression or anxiety). They can add to sleepiness caused by chlorpheniramine.

Tell your doctor about all other medicines you use, especially:

leflunomide (Arava);

topiramate (Topamax);

zonisamide (Zonegran);

an antibiotic, antifungal medicine, sulfa drug, or tuberculosis medicine;

an antidepressant;

birth control pills or hormone replacement therapy;

bladder or urinary medications;

blood pressure medication;

a bronchodilator;

cancer medicine;

cholesterol-lowering medications such as Lipitor, Niaspan, Zocor, Vytorin, and others;

gout or arthritis medications (including gold injections);

HIV/AIDS medication;

medication for nausea and vomiting, stomach ulcers, or irritable bowel syndrome;

medicines to treat psychiatric disorders;

an NSAID such as Advil, Aleve, Arthrotec, Cataflam, Celebrex, Indocin, Motrin, Naprosyn, Treximet, Voltaren, others; or

seizure medication.

This list is not complete and other drugs may interact with acetaminophen, chlorpheniramine, dextromethorphan, and pseudoephedrine. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

More Comtrex Cold and Flu Maximum Strength Liquid resources

Comtrex Cold and Flu Maximum Strength Liquid Use in Pregnancy & Breastfeeding
Comtrex Cold and Flu Maximum Strength Liquid Drug Interactions
0 Reviews for Comtrex Cold and Flu Maximum Strength - Add your own review/rating

Vicks Formula 44M Liquid MedFacts Consumer Leaflet (Wolters Kluwer)

Compare Comtrex Cold and Flu Maximum Strength Liquid with other medications

Cold Symptoms
Influenza

Where can I get more information?

Your pharmacist can provide more information about acetaminophen, chlorpheniramine, dextromethorphan, and pseudoephedrine.

Comtrex Allergy Sinus Maximum Strength

Generic Name: acetaminophen, chlorpheniramine, and pseudoephedrine (a seet a MIN oh fen, klor fen IR a meen, soo doe e FED rin)

Brand Names: Alka-Seltzer Plus Cold Liquigel, Allerest Headache Strength, Allerest Sinus, Cold Medicine Plus, Comtrex Allergy Sinus, Comtrex Allergy Sinus Maximum Strength, Comtrex Allergy Sinus Night and Day, Kolephrin, Sinarest, Sinutab Ex-Strength, Theraflu Cold & Sore Throat (pseudoephedrine), Theraflu Flu & Sore Throat (pseudoephedrine), Theraflu Maximum Strength

What is Comtrex Allergy Sinus Maximum Strength (acetaminophen, chlorpheniramine, and pseudoephedrine)?

Acetaminophen is a pain reliever and fever reducer.

Chlorpheniramine is an antihistamine that reduces the natural chemical histamine in the body. Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose.

Pseudoephedrine is a decongestant that shrinks blood vessels in the nasal passages. Dilated blood vessels can cause nasal congestion (stuffy nose).

The combination of acetaminophen, chlorpheniramine, and pseudoephedrine is used to treat headache, fever, body aches, runny or stuffy nose, sneezing, itching, watery eyes, and sinus congestion caused by allergies, the common cold, or the flu.

Acetaminophen, chlorpheniramine, and pseudoephedrine may also be used for purposes not listed in this medication guide.

What is the most important information I should know about Comtrex Allergy Sinus Maximum Strength (acetaminophen, chlorpheniramine, and pseudoephedrine)?

Do not take more of this medication than is recommended. An overdose of acetaminophen can damage your liver or cause death. Do not take this medication without a doctor's advice if you have ever had alcoholic liver disease (cirrhosis) or if you drink more than 3 alcoholic beverages per day. You should not use this medicine if you have severe constipation, a blockage in your stomach or intestines, or if you are unable to urinate. Do not use this medicine if you have untreated or uncontrolled diseases such as glaucoma, asthma or COPD, high blood pressure, heart disease, coronary artery disease, or overactive thyroid. Avoid drinking alcohol. It may increase your risk of liver damage while taking acetaminophen and can increase certain side effects of chlorpheniramine. Do not use this medicine if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects. Ask a doctor or pharmacist before using any other cold, allergy, pain, or sleep medication. Acetaminophen (sometimes abbreviated as APAP) is contained in many combination medicines. Taking certain products together can cause you to get too much acetaminophen which can lead to a fatal overdose.

What should I discuss with my healthcare provider before taking Comtrex Allergy Sinus Maximum Strength (acetaminophen, chlorpheniramine, and pseudoephedrine)?

You should not use this medicine if you have severe constipation, a blockage in your stomach or intestines, or if you are unable to urinate. Do not take this medication without a doctor's advice if you have ever had alcoholic liver disease (cirrhosis) or if you drink more than 3 alcoholic beverages per day. You may not be able to take medicine that contains acetaminophen. Do not use this medicine if you have untreated or uncontrolled diseases such as glaucoma, asthma or COPD, high blood pressure, heart disease, coronary artery disease, or overactive thyroid. Do not use this medicine if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects.

Ask a doctor or pharmacist if it is safe for you to take this medicine if you have:

liver disease, cirrhosis, or a history of alcoholism;

a blockage in your digestive tract (stomach or intestines);

diabetes;

kidney disease;

epilepsy or other seizure disorder;

cough with mucus, or cough caused by smoking, emphysema, or chronic bronchitis;

enlarged prostate or urination problems;

low blood pressure;

pheochromocytoma (an adrenal gland tumor); or

if you take potassium (Cytra, Epiklor, K-Lyte, K-Phos, Kaon, Klor-Con, Polycitra, Urocit-K).

It is not known whether acetaminophen, chlorpheniramine, and pseudoephedrine will harm an unborn baby. Do not use this medicine without your doctor's advice if you are pregnant. This medication may pass into breast milk and may harm a nursing baby. Antihistamines and decongestants may also slow breast milk production. Do not use this medicine without your doctor's advice if you are breast-feeding a baby.

How should I take Comtrex Allergy Sinus Maximum Strength (acetaminophen, chlorpheniramine, and pseudoephedrine)?

Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. This medicine is usually taken only for a short time until your symptoms clear up.

Do not take more of this medication than is recommended. An overdose of acetaminophen can damage your liver or cause death.

Dissolve one packet of the powder in at least 4 ounces of water. Stir this mixture and drink all of it right away.

If you need surgery or medical tests, tell the surgeon or doctor ahead of time if you have taken this medicine within the past few days. Store at room temperature away from moisture and heat. Do not allow liquid medicine to freeze.

What happens if I miss a dose?

Since this medicine is taken when needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1 800 222 1222. An overdose of acetaminophen can be fatal.

Overdose symptoms may also include severe forms of some of the side effects listed in this medication guide.

What should I avoid while taking Comtrex Allergy Sinus Maximum Strength (acetaminophen, chlorpheniramine, and pseudoephedrine)?

Ask a doctor or pharmacist before using any other cold, allergy, pain, or sleep medication. Acetaminophen (sometimes abbreviated as APAP) is contained in many combination medicines. Taking certain products together can cause you to get too much acetaminophen which can lead to a fatal overdose. Check the label to see if a medicine contains acetaminophen or APAP. Avoid drinking alcohol. It may increase your risk of liver damage while taking acetaminophen, and can increase certain side effects of chlorpheniramine. This medicine may cause blurred vision or impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly.

Comtrex Allergy Sinus Maximum Strength (acetaminophen, chlorpheniramine, and pseudoephedrine) side effects

chest pain, rapid pulse, fast or uneven heart rate;

confusion, hallucinations, severe nervousness;

tremor, seizure (convulsions);

easy bruising or bleeding, unusual weakness;

urinating less than usual or not at all;

nausea, pain in your upper stomach, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of your skin or eyes); or

dangerously high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, chest pain, shortness of breath, uneven heartbeats, seizure).

Less serious side effects may include:

dizziness, drowsiness;

mild headache;

dry mouth, nose, or throat;

constipation;

blurred vision;

feeling nervous; or

sleep problems (insomnia);

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Comtrex Allergy Sinus Maximum Strength (acetaminophen, chlorpheniramine, and pseudoephedrine)?

Tell your doctor about all other medicines you use, especially:

leflunomide (Arava);

topiramate (Topamax);

zonisamide (Zonegran);

an antibiotic, antifungal medicine, sulfa drug, or tuberculosis medicine;

an antidepressant;

birth control pills or hormone replacement therapy;

bladder or urinary medications;

blood pressure medication;

a bronchodilator;

cancer medicine;

cholesterol-lowering medications such as Lipitor, Niaspan, Zocor, Vytorin, and others;

gout or arthritis medications (including gold injections);

HIV/AIDS medication;

medication for nausea and vomiting, stomach ulcers, or irritable bowel syndrome;

medicines to treat psychiatric disorders;

an NSAID such as Advil, Aleve, Arthrotec, Cataflam, Celebrex, Indocin, Motrin, Naprosyn, Treximet, Voltaren, others; or

seizure medication.

This list is not complete and other drugs may interact with acetaminophen, chlorpheniramine, and pseudoephedrine. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

More Comtrex Allergy Sinus Maximum Strength resources

Comtrex Allergy Sinus Maximum Strength Use in Pregnancy & Breastfeeding
Comtrex Allergy Sinus Maximum Strength Drug Interactions
0 Reviews for Comtrex Allergy Sinus Maximum Strength - Add your own review/rating

Children's Tylenol Cold Chewable Tablets MedFacts Consumer Leaflet (Wolters Kluwer)

Compare Comtrex Allergy Sinus Maximum Strength with other medications

Cold Symptoms
Hay Fever

Where can I get more information?

Your pharmacist can provide more information about acetaminophen, chlorpheniramine, and pseudoephedrine.

Comtrex Allergy Sinus

What is Comtrex Allergy Sinus (acetaminophen, chlorpheniramine, and pseudoephedrine)?

Acetaminophen is a pain reliever and fever reducer.

Chlorpheniramine is an antihistamine that reduces the natural chemical histamine in the body. Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose.

Pseudoephedrine is a decongestant that shrinks blood vessels in the nasal passages. Dilated blood vessels can cause nasal congestion (stuffy nose).

Acetaminophen, chlorpheniramine, and pseudoephedrine may also be used for purposes not listed in this medication guide.

What is the most important information I should know about Comtrex Allergy Sinus (acetaminophen, chlorpheniramine, and pseudoephedrine)?

Do not take more of this medication than is recommended. An overdose of acetaminophen can damage your liver or cause death. Do not take this medication without a doctor's advice if you have ever had alcoholic liver disease (cirrhosis) or if you drink more than 3 alcoholic beverages per day. You should not use this medicine if you have severe constipation, a blockage in your stomach or intestines, or if you are unable to urinate. Do not use this medicine if you have untreated or uncontrolled diseases such as glaucoma, asthma or COPD, high blood pressure, heart disease, coronary artery disease, or overactive thyroid. Avoid drinking alcohol. It may increase your risk of liver damage while taking acetaminophen and can increase certain side effects of chlorpheniramine. Do not use this medicine if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects. Ask a doctor or pharmacist before using any other cold, allergy, pain, or sleep medication. Acetaminophen (sometimes abbreviated as APAP) is contained in many combination medicines. Taking certain products together can cause you to get too much acetaminophen which can lead to a fatal overdose.

What should I discuss with my healthcare provider before taking Comtrex Allergy Sinus (acetaminophen, chlorpheniramine, and pseudoephedrine)?

Ask a doctor or pharmacist if it is safe for you to take this medicine if you have:

liver disease, cirrhosis, or a history of alcoholism;

a blockage in your digestive tract (stomach or intestines);

diabetes;

kidney disease;

epilepsy or other seizure disorder;

cough with mucus, or cough caused by smoking, emphysema, or chronic bronchitis;

enlarged prostate or urination problems;

low blood pressure;

pheochromocytoma (an adrenal gland tumor); or

if you take potassium (Cytra, Epiklor, K-Lyte, K-Phos, Kaon, Klor-Con, Polycitra, Urocit-K).

How should I take Comtrex Allergy Sinus (acetaminophen, chlorpheniramine, and pseudoephedrine)?

Do not take more of this medication than is recommended. An overdose of acetaminophen can damage your liver or cause death.

Dissolve one packet of the powder in at least 4 ounces of water. Stir this mixture and drink all of it right away.

What happens if I miss a dose?

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1 800 222 1222. An overdose of acetaminophen can be fatal.

Overdose symptoms may also include severe forms of some of the side effects listed in this medication guide.

What should I avoid while taking Comtrex Allergy Sinus (acetaminophen, chlorpheniramine, and pseudoephedrine)?

Ask a doctor or pharmacist before using any other cold, allergy, pain, or sleep medication. Acetaminophen (sometimes abbreviated as APAP) is contained in many combination medicines. Taking certain products together can cause you to get too much acetaminophen which can lead to a fatal overdose. Check the label to see if a medicine contains acetaminophen or APAP. Avoid drinking alcohol. It may increase your risk of liver damage while taking acetaminophen, and can increase certain side effects of chlorpheniramine. This medicine may cause blurred vision or impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly.

Comtrex Allergy Sinus (acetaminophen, chlorpheniramine, and pseudoephedrine) side effects

chest pain, rapid pulse, fast or uneven heart rate;

confusion, hallucinations, severe nervousness;

tremor, seizure (convulsions);

easy bruising or bleeding, unusual weakness;

urinating less than usual or not at all;

nausea, pain in your upper stomach, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of your skin or eyes); or

dangerously high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, chest pain, shortness of breath, uneven heartbeats, seizure).

Less serious side effects may include:

dizziness, drowsiness;

mild headache;

dry mouth, nose, or throat;

constipation;

blurred vision;

feeling nervous; or

sleep problems (insomnia);

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Comtrex Allergy Sinus (acetaminophen, chlorpheniramine, and pseudoephedrine)?

Tell your doctor about all other medicines you use, especially:

leflunomide (Arava);

topiramate (Topamax);

zonisamide (Zonegran);

an antibiotic, antifungal medicine, sulfa drug, or tuberculosis medicine;

an antidepressant;

birth control pills or hormone replacement therapy;

bladder or urinary medications;

blood pressure medication;

a bronchodilator;

cancer medicine;

cholesterol-lowering medications such as Lipitor, Niaspan, Zocor, Vytorin, and others;

gout or arthritis medications (including gold injections);

HIV/AIDS medication;

medication for nausea and vomiting, stomach ulcers, or irritable bowel syndrome;

medicines to treat psychiatric disorders;

an NSAID such as Advil, Aleve, Arthrotec, Cataflam, Celebrex, Indocin, Motrin, Naprosyn, Treximet, Voltaren, others; or

seizure medication.

More Comtrex Allergy Sinus resources

Comtrex Allergy Sinus Use in Pregnancy & Breastfeeding
Drug Images
Comtrex Allergy Sinus Drug Interactions
Comtrex Allergy Sinus Support Group
0 Reviews for Comtrex Allergy Sinus - Add your own review/rating

Children's Tylenol Cold Chewable Tablets MedFacts Consumer Leaflet (Wolters Kluwer)

Compare Comtrex Allergy Sinus with other medications

Cold Symptoms
Hay Fever

Where can I get more information?

Your pharmacist can provide more information about acetaminophen, chlorpheniramine, and pseudoephedrine.

Cocet

Generic Name: acetaminophen and codeine (a SEET a MIN o fen and KOE deen)

Brand Names: Capital with Codeine Suspension, Cocet, Cocet Plus, EZ III, Tylenol with Codeine #3, Tylenol with Codeine #4, Vopac

What is Cocet (acetaminophen and codeine)?

Codeine is in a group of drugs called narcotic pain relievers. Acetaminophen is a less potent pain reliever that increases the effects of codeine.

The combination of acetaminophen and codeine is used to relieve moderate to severe pain.

Acetaminophen and codeine may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Cocet (acetaminophen and codeine)?

Tell your doctor if you have ever had alcoholic liver disease (cirrhosis) or if you drink more than 3 alcoholic beverages per day. You may not be able to take acetaminophen. Do not take more of this medication than is recommended. An overdose of acetaminophen can damage your liver or cause death. Avoid drinking alcohol. It may increase your risk of liver damage while taking acetaminophen. Ask a doctor or pharmacist before using any other cold, allergy, pain, or sleep medication. Acetaminophen (sometimes abbreviated as APAP) is contained in many combination medicines. Taking certain products together can cause you to get too much acetaminophen which can lead to a fatal overdose. Check the label to see if a medicine contains acetaminophen or APAP. Codeine may be habit-forming and should be used only by the person it was prescribed for. Keep the medication in a secure place where others cannot get to it. Acetaminophen and codeine may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

What should I discuss with my healthcare provider before taking Cocet (acetaminophen and codeine)?

Do not use this medication if you are allergic to acetaminophen (Tylenol) or codeine. Codeine may be habit-forming and should be used only by the person it was prescribed for. Never share acetaminophen and codeine with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it.

Tell your doctor if you drink more than three alcoholic beverages per day or if you have ever had alcoholic liver disease (cirrhosis). You may not be able to take medication that contains acetaminophen.

If you have any of these other conditions, you may need a dose adjustment or special tests:

asthma, COPD, sleep apnea, or other breathing disorders;

liver or kidney disease;

a history of head injury or brain tumor;

epilepsy or other seizure disorder;

low blood pressure;

a stomach or intestinal disorder;

underactive thyroid;

Addison's disease or other adrenal gland disorder;

enlarged prostate, urination problems;

curvature of the spine;

mental illness; or

a history of drug or alcohol addiction.

FDA pregnancy category C. It is not known whether this medication is harmful to an unborn baby, but it could cause breathing problems or addiction/withdrawal symptoms in a newborn. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. Acetaminophen and codeine can pass into breast milk and may harm a nursing baby. The use of codeine by some nursing mothers may lead to life-threatening side effects in the baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take Cocet (acetaminophen and codeine)?

Take exactly as prescribed by your doctor. Do not take more of this medication than is recommended. An overdose of acetaminophen can damage your liver or cause death. Tell your doctor if the medicine seems to stop working as well in relieving your pain.

One acetaminophen and codeine tablet may contain up to 650 mg of acetaminophen. Know the amount of acetaminophen in the specific product you are taking.

Take this medicine with food or milk to ease stomach upset.

Measure liquid medicine with a special dose-measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

Drink 6 to 8 full glasses of water daily to help prevent constipation while you are taking acetaminophen and codeine. Do not use a stool softener (laxative) without first asking your doctor. Do not stop using acetaminophen and codeine suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to avoid withdrawal symptoms when you stop using acetaminophen and codeine.

This medication can cause unusual results with certain urine tests. Tell any doctor who treats you that you are using acetaminophen and codeine.

If you need surgery, tell the surgeon ahead of time that you are using acetaminophen and codeine. You may need to stop using the medicine for a short time.

Store at room temperature away from moisture and heat. Keep track of the amount of medicine used from each new bottle. Codeine is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.

What happens if I miss a dose?

Since this medication is taken as needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of acetaminophen and codeine can be fatal.

Overdose symptoms may include extreme drowsiness, pinpoint pupils, cold and clammy skin, fainting, weak pulse, seizure (convulsions), coma, blue lips, shallow breathing, or no breathing.

What should I avoid while taking Cocet (acetaminophen and codeine)?

This medication may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Ask a doctor or pharmacist before using any other cold, allergy, pain, or sleep medication. Acetaminophen (sometimes abbreviated as APAP) is contained in many combination medicines. Taking certain products together can cause you to get too much acetaminophen which can lead to a fatal overdose. Check the label to see if a medicine contains acetaminophen or APAP. Avoid drinking alcohol. It may increase your risk of liver damage while taking acetaminophen.

Cocet (acetaminophen and codeine) side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:

shallow breathing, slow heartbeat;

feeling light-headed, fainting;

confusion, unusual thoughts or behavior;

seizure (convulsions);

easy bruising or bleeding; or

nausea, stomach pain, loss of appetite, itching, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).

Less serious side effects include:

feeling dizzy or drowsy;

mild nausea, vomiting, upset stomach, constipation;

headache;

blurred vision; or

dry mouth.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Cocet (acetaminophen and codeine)?

Before taking acetaminophen and codeine, tell your doctor if you regularly use other medicines that make you sleepy (such as cold or allergy medicine, sedatives, other pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety). They can add to sleepiness caused by codeine.

Also tell your doctor if you are using any of the following drugs:

glycopyrrolate (Robinul);

mepenzolate (Cantil);

atropine (Donnatal, and others), benztropine (Cogentin), dimenhydrinate (Dramamine), methscopolamine (Pamine), or scopolamine (Transderm-Scop);

bladder or urinary medications such as darifenacin (Enablex), flavoxate (Urispas), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), or solifenacin (Vesicare);

a bronchodilator such as ipratroprium (Atrovent) or tiotropium (Spiriva); or

irritable bowel medications such as dicyclomine (Bentyl), hyoscyamine (Anaspaz, Cystospaz, Levsin, and others), or propantheline (Pro-Banthine).

This list is not complete and other drugs may interact with acetaminophen and codeine. Tell your doctor about all medications you use. This includes prescription, over the counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

More Cocet resources

Cocet Side Effects (in more detail)
Cocet Use in Pregnancy & Breastfeeding
Cocet Drug Interactions
Cocet Support Group
0 Reviews for Cocet - Add your own review/rating

Cocet Plus Prescribing Information (FDA)

Tylenol with Codeine Prescribing Information (FDA)

Vopac Advanced Consumer (Micromedex) - Includes Dosage Information

Compare Cocet with other medications

Cough
Osteoarthritis
Pain

Where can I get more information?

Your pharmacist can provide more information about acetaminophen and codeine.

See also: Cocet side effects (in more detail)

Caltrate 600+D Plus

Pronunciation: KAL-see-um KAR-bo-nate/VYE-ta-min D
Generic Name: Calcium Carbonate/Vitamin D
Brand Name: Caltrate 600+D Plus

Caltrate 600+D Plus is used for:

Treating or preventing calcium deficiency. It may also be used for other conditions as determined by your doctor.

Caltrate 600+D Plus is a dietary supplement. It works by providing extra calcium, vitamin D, and minerals to your body.

Do NOT use Caltrate 600+D Plus if:

you are allergic to any ingredient in Caltrate 600+D Plus

you have high blood calcium or vitamin D levels

Contact your doctor or health care provider right away if any of these apply to you.

Before using Caltrate 600+D Plus:

Some medical conditions may interact with Caltrate 600+D Plus. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

if you are pregnant, planning to become pregnant, or are breast-feeding

if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

if you have allergies to medicines, foods, or other substances

if you have high blood phosphate levels or high calcium levels

if you have appendicitis, heart problems, parathyroid problems, hardening of the arteries, kidney problems, kidney stones, stomach or bowel problems (eg, blockage of your bowel, stomach bleeding), or inflammatory problems (eg, sarcoidosis)

if you take digoxin or if you are dehydrated

Some MEDICINES MAY INTERACT with Caltrate 600+D Plus. Tell your health care provider if you are taking any other medicines, especially any of the following:

Azole antifungals (eg, ketoconazole), bisphosphonates (eg, alendronate), certain cephalosporins (eg, cefpodoxime), iron, mycophenolate, quinolones (eg, ciprofloxacin), sodium polystyrene sulfonate, tetracyclines (eg, doxycycline), or thyroid hormones because their effectiveness may be decreased by Caltrate 600+D Plus

This may not be a complete list of all interactions that may occur. Ask your health care provider if Caltrate 600+D Plus may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Caltrate 600+D Plus:

Use Caltrate 600+D Plus as directed by your doctor. Check the label on the medicine for exact dosing instructions.

Take Caltrate 600+D Plus by mouth with or without food.

Chew Caltrate 600+D Plus well before you swallow it.

Take Caltrate 600+D Plus with a full glass of water (8 oz/240 mL).

If you take an azole antifungal (eg, ketoconazole), a bisphosphonate (eg, alendronate), certain cephalosporins (eg, cefpodoxime), iron, mycophenolate, a quinolone antibiotic (eg, ciprofloxacin), a cation exchange resin (eg, sodium polystyrene sulfonate), a tetracycline antibiotic (eg, doxycycline), or a thyroid hormone, ask your doctor or pharmacist how to take them with Caltrate 600+D Plus.

If you miss a dose of Caltrate 600+D Plus, take it as soon as you remember. Continue to take it as directed by your doctor or on the package label.

Ask your health care provider any questions you may have about how to use Caltrate 600+D Plus.

Important safety information:

Do not take large doses of vitamins while you use Caltrate 600+D Plus unless your doctor tells you to.

Caltrate 600+D Plus has calcium, magnesium, and vitamin D in it. Before you start any new medicine, check the label to see if it has calcium, magnesium, or vitamin D in it too. If it does or if you are not sure, check with your doctor or pharmacist.

Different brands of Caltrate 600+D Plus may have different dosing instructions for CHILDREN. Follow the dosing instructions on the package labeling. If your doctor has given you instructions, follow those. If you are unsure of the dose to give a child, check with your doctor or pharmacist.

PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Caltrate 600+D Plus while you are pregnant. It is not known if Caltrate 600+D Plus is found in breast milk. If you are or will be breast-feeding while you use Caltrate 600+D Plus, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Caltrate 600+D Plus:

All medicines may cause side effects, but many people have no, or minor, side effects. No COMMON side effects have been reported with Caltrate 600+D Plus. Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue).

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Caltrate 600+D Plus side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.

Proper storage of Caltrate 600+D Plus:

Store Caltrate 600+D Plus at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Caltrate 600+D Plus out of the reach of children and away from pets.

General information:

If you have any questions about Caltrate 600+D Plus, please talk with your doctor, pharmacist, or other health care provider.

Caltrate 600+D Plus is to be used only by the patient for whom it is prescribed. Do not share it with other people.

If your symptoms do not improve or if they become worse, check with your doctor.

Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Caltrate 600+D Plus. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012

Database Edition 12.1.1.002

More Caltrate 600+D Plus resources

Caltrate 600+D Plus Side Effects (in more detail)
Caltrate 600+D Plus Use in Pregnancy & Breastfeeding
Caltrate 600+D Plus Drug Interactions
0 Reviews for Caltrate 600+D Plus - Add your own review/rating

Compare Caltrate 600+D Plus with other medications

Dietary Supplementation
Osteoporosis

Codal-DM Syrup

Generic Name: dextromethorphan, phenylephrine, and pyrilamine (dex troe meh THOR fan, feh nill EH frin, pie RIH la meen)

Brand Names: Codal-DM Syrup, Codimal DM, Codituss DM, Poly Hist DM

What is Codal-DM Syrup (dextromethorphan, phenylephrine, and pyrilamine)?

Dextromethorphan is a cough suppressant. It affects the signals in the brain that trigger cough reflex.

Phenylephrine is a decongestant that shrinks blood vessels in the nasal passages. Dilated blood vessels can cause nasal congestion (stuffy nose).

Pyrilamine is an antihistamine that reduces the natural chemical histamine in the body. Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose.

The combination of dextromethorphan, phenylephrine, and pyrilamine is used to treat sneezing, cough, runny or stuffy nose, itchy or watery eyes, hives, skin rash, itching, and other symptoms of allergies and the common cold.

Dextromethorphan will not treat a cough that is caused by smoking, asthma, or emphysema.

Dextromethorphan, phenylephrine, and pyrilamine may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about Codal-DM Syrup (dextromethorphan, phenylephrine, and pyrilamine)?

Always ask a doctor before giving a cough or cold medicine to a child. Death can occur from the misuse of cough and cold medicines in very young children. Do not use a cough or cold medicine if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take cough or cold medicine before the MAO inhibitor has cleared from your body. Do not use any other over-the-counter cough, cold, allergy, or sleep medication without first asking your doctor or pharmacist. If you take certain products together you may accidentally take too much of one or more types of medicine. Read the label of any other medicine you are using to see if it contains an antihistamine, decongestant, or cough suppressant. Dextromethorphan, phenylephrine, and pyrilamine can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Avoid drinking alcohol. It can increase some of the side effects of this medication.

What should I discuss with my healthcare provider before taking Codal-DM Syrup (dextromethorphan, phenylephrine, and pyrilamine)?

Do not use a cough or cold medicine if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take cough or cold medicine before the MAO inhibitor has cleared from your body.

Before taking this medication, tell your doctor if you are allergic to dextromethorphan, phenylephrine, or pyrilamine, or if you have:

kidney disease;

liver disease;

diabetes;

glaucoma;

heart disease or high blood pressure;

a thyroid disorder;

a stomach ulcer or a stomach obstruction;

emphysema or chronic bronchitis; or

an enlarged prostate or urination problems.

If you have any of these conditions, you may not be able to use dextromethorphan, phenylephrine, and pyrilamine, or you may need a dosage adjustment or special tests during treatment.

FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Dextromethorphan, phenylephrine, and pyrilamine can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Artificially-sweetened liquid forms of cough-and-cold medications may contain phenylalanine. This would be important to know if you have phenylketonuria (PKU). Check the ingredients and warnings on the medication label if you are concerned about phenylalanine.

How should I take Codal-DM Syrup (dextromethorphan, phenylephrine, and pyrilamine)?

Use this medication exactly as directed on the label or as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor.

Always ask a doctor before giving a cough or cold medicine to a child. Death can occur from the misuse of cough and cold medicines in very young children. Take this medicine with a full glass of water.

Measure the liquid form of this medicine with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.

Take this medicine with food or milk if it upsets your stomach.

This medication can cause you to have unusual results with allergy skin tests. Tell any doctor who treats you that you are taking an antihistamine.

Talk with your doctor if your symptoms do not improve after 7 days of treatment, or if you have a fever with a headache, cough, or skin rash.

If you need to have any type of surgery, tell the surgeon ahead of time if you have taken a cold medicine within the past few days.

Store the medication at room temperature away from moisture and heat.

What happens if I miss a dose?

Since cough or cold medicine is usually taken only as needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.

Symptoms of an overdose may include feeling restless or nervous, nausea, vomiting, stomach pain, dizziness, drowsiness, dry mouth, warmth or tingly feeling, or seizure (convulsions). confusion, blurred vision, dry mouth, nausea, vomiting, and seizure (convulsions).

What should I avoid while taking Codal-DM Syrup (dextromethorphan, phenylephrine, and pyrilamine)?

This medication can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Avoid drinking alcohol. It can increase some of the side effects of this medication.

Avoid using other medicines that make you sleepy (such as cold medicine, pain medication, muscle relaxers, and medicine for seizures, depression or anxiety). They can add to sleepiness caused by dextromethorphan, phenylephrine, and pyrilamine.

Avoid taking diet pills, caffeine pills, or other stimulants (such as ADHD medications) without your doctor's advice. Taking a stimulant together with a decongestant can increase your risk of unpleasant side effects.

Do not use any other over-the-counter cough, cold, allergy, or sleep medication without first asking your doctor or pharmacist. Antihistamines, decongestants, and cough suppressants are contained in many medicines available over the counter. If you take certain products together you may accidentally take too much of one or more types of medicine. Read the label of any other medicine you are using to see if it contains an antihistamine, decongestant, or cough suppressant.

Codal-DM Syrup (dextromethorphan, phenylephrine, and pyrilamine) side effects

fast, pounding, or uneven heartbeat;

confusion, hallucinations, unusual thoughts or behavior;

severe dizziness, anxiety, restless feeling, or nervousness;

increased blood pressure (severe headache, blurred vision, trouble concentrating, chest pain, numbness, seizure);

confusion, hallucinations;

slow, shallow breathing;

urinating less than usual or not at all;

easy bruising or bleeding, unusual weakness, fever, chills, body aches, flu symptoms; or

nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).

Keep taking the medication and talk to your doctor if you have any of these less serious side effects:

blurred vision;

dry mouth;

nausea, stomach pain, constipation;

mild loss of appetite, stomach upset;

warmth, tingling, or redness under your skin;

feeling excited or restless;

sleep problems (insomnia);

restless or excitability (especially in children);

skin rash or itching;

dizziness, drowsiness;

problems with memory or concentration; or

ringing in your ears.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Codal-DM Syrup (dextromethorphan, phenylephrine, and pyrilamine)?

Before taking this medication, tell your doctor if you are using any of the following drugs:

an antidepressant;

a diuretic (water pill);

medication to treat irritable bowel syndrome;

celecoxib (Celebrex);

cinacalcet (Sensipar);

darifenacin (Enablex);

imatinib (Gleevec);

quinidine (Quinaglute, Quinidex);

ranolazine (Ranexa)

ritonavir (Norvir);

sibutramine (Meridia);

terbinafine (Lamisil);

medicines to treat high blood pressure;

aspirin or salicylates (such as Disalcid, Doan's Pills, Dolobid, Salflex, Tricosal, and others);

bladder or urinary medications such as oxybutynin (Ditropan, Oxytrol) or tolterodine (Detrol); or

a beta-blocker such as atenolol (Tenormin), carteolol (Cartrol), metoprolol (Lopressor, Toprol), nadolol (Corgard), propranolol (Inderal), sotalol (Betapace), timolol (Blocadren), and others.

There may be other drugs that can affect dextromethorphan, phenylephrine, and pyrilamine. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

More Codal-DM Syrup resources

Codal-DM Syrup Side Effects (in more detail)
Codal-DM Syrup Use in Pregnancy & Breastfeeding
Codal-DM Syrup Drug Interactions
Codal-DM Syrup Support Group
0 Reviews for Codal-DM - Add your own review/rating

Dextromethorphan/Phenylephrine/Pyrilamine Chewable Tablets MedFacts Consumer Leaflet (Wolters Kluwer)

Codimal DM Syrup MedFacts Consumer Leaflet (Wolters Kluwer)

Reme Hist DM Prescribing Information (FDA)

Triplex DM Prescribing Information (FDA)

Compare Codal-DM Syrup with other medications

Cold Symptoms
Hay Fever
Sinusitis

Where can I get more information?

Your pharmacist has information about dextromethorphan, phenylephrine, and pyrilamine written for health professionals that you may read.

See also: Codal-DM side effects (in more detail)

Citrucel

methylcellulose

Dosage Form: powder, for solution
Drug Facts

Active ingredient orange

(in each rounded tablespoon)

Methylcellulose (a non-allergenic fiber) 2g

Active ingredient sugar free

(in each heaping tablespoon)

Methylcellulose (a non-allergenic fiber) 2g

Purpose

Bulk-forming fiber laxative

Uses

relieves constipation (irregularity)

helps to restore and maintain regularity

for constipation associated with other bowel disorders like IBS when recommended by a doctor

generally produces a bowel movement in 12-72 hours

Warnings

Choking: taking this product without adequate fluid may cause it to swell and block your throat or esophagus and may cause choking. Do not take this product if you have difficulty in swallowing. If you experience chest pain, vomiting, or difficulty swallowing or breathing after taking this product, seek immediate medical attention.

Ask a doctor before use if you have

a sudden change in bowel habits that persists for two weeks

abdominal pain, nausea or vomiting

Stop use and ask a doctor if

constipation lasts more than 7 days

you have rectal bleeding

These could be signs of a serious condition.

Keep out of reach of children.

In case of overdose, get medical help or contact a Poison Control Center right away.

Directions

MIX THIS PRODUCT (CHILD OR ADULT DOSE) WITH AT LEAST 8 OUNCES (A FULL GLASS) OF WATER OR OTHER FLUID. TAKING THIS PRODUCT WITHOUT ENOUGH LIQUID MAY CAUSE CHOKING. SEE CHOKING WARNING

use product at the first sign of constipation or irregularity

put one dose in a full glass of cold water

stir briskly and drink promptly

drinking another glass of water is helpful

Citrucel® Orange

Age	Dose
adults & children 12 years of age and over	start with 1 heaping tablespoon. Increase as needed, 1 heaping tablespoon at a time, up to 3 times per day.
children 6 - 11 years of age	start with 2.5 level teaspoons. Increase as needed, 2.5 level teaspoons at a time, up to 3 times per day.
children under 6 years of age	consult a physician

Citrucel® Sugar Free

Age	Dose
adults & children 12 years of age and over	start with 1 rounded tablespoon. Increase as needed, 1 rounded tablespoon at a time, up to 3 times per day.
children 6 - 11 years of age	start with 2 level teaspoons. Increase as needed, 2 level teaspoons at a time, up to 3 times per day.
children under 6 years of age	consult a physician

Other information

Citrucel® Orange

each heaping tablespoon contains: calcium 80mg and potassium 110mg

each heaping tablespoon contributes 60 calories from sucrose and maltodextrin

store below 77°F (25°C)

protect contents from humidity

keep tightly closed

Citrucel® Sugar Free

each rounded tablespoon contains: calcium 85mg and potassium 125mg

each rounded tablespoon contributes 24 calories from maltodextrin

store below 77°F (25°C)

protect contents from humidity

keep tightly closed

Phenylketonurics: CONTAINS PHENYLALANINE 52mg per adult dose

Inactive ingredients

Citrucel® Orange

citric acid, dibasic calcium phosphate, FD&C yellow #6, maltodextrin, orange flavors (natural and artificial), potassium citrate, riboflavin, sucrose, titanium dioxide, tricalcium phosphate

Citrucel® Sugar Free

aspartame, dibasic calcium phosphate, FD&C yellow #6, malic acid, maltodextrin, orange flavors (natural and artificial), potassium citrate, riboflavin

Questions or comments?

call toll-free 1-800-897-6081 (English/Spanish) weekdays

Citrucel® Orange

Patent No. 4,626,287

4,671,823

4,732,917

Citrucel® Sugar Free

Patent No. 4,626,287

4,671,823

Distributed by:

GlaxoSmithKline Consumer Healthcare, L.P.

Moon Township, PA 15108

Citrucel® is a registered trademark of the GlaxoSmithKline group of companies.

Great-Tasting Orange Flavor

Citrucel® Orange

Citrucel® Sugar Free

with smartfiber®

Citrucel's unique smartfiber® is smart because it is:

The ONLY fiber that won't ferment to cause excess gas like other fiber products. *

Clinically proven effective to help restore and maintain regularity.

Gentle enough for everyday use.

100% soluble, non-allergenic and gluten-free.

*Based on laboratory testing. Individual results may vary.

Citrucel® Orange

DIRECTIONS FOR USE (NO SCOOP** DOSING):

1. Fill glass with at least 8 oz. of cold water.

2. Measure heaping tablespoon of product (one dose) and stir product into water. Stir briskly and drink promptly.

TAMPER EVIDENT PACKAGE

PRINTED INNER SEAL BENEATH CAP. DO NOT USE IF MISSING OR BROKEN.

**We are as concerned about the environment as you are so we have removed the scoop from our Citrucel powder products. Doing so helps save energy, reduce the amount of plastic produced and improve environmental footprints.

62063XC

5E643 SB F1

Citrucel® Sugar Free

DIRECTIONS FOR USE (NO SCOOP** DOSING):

1. Fill glass with at least 8 oz. of cold water.

2. Measure rounded tablespoon of product (one dose) and stir product into water. Stir briskly and drink promptly.

TAMPER EVIDENT PACKAGE

PRINTED INNER SEAL BENEATH CAP. DO NOT USE IF MISSING OR BROKEN.

62056XD

5M245 SB F1

Principal Display Panel

Great Taste & Clinically Proven Effective

Citrucel®

METHYLCELLULOSE FIBER THERAPY FOR REGULARITY

with smartfiber®

The Only Fiber for Regularity

That Won't Cause Excess Gas*

ORANGE FLAVOR

NET WT 16 OZ (454 GRAMS)

Principal Display Panel

Great Taste & Clinically Proven Effective

Citrucel®

METHYLCELLULOSE FIBER THERAPY FOR REGULARITY

with smartfiber®

The Only Fiber for Regularity

That Won't Cause Excess Gas*

sugar free ORANGE FLAVOR

NET WT 32 OZ (907 GRAMS)

Citrucel
methylcellulose powder, for solution

Product Information
Product Type	HUMAN OTC DRUG	NDC Product Code (Source)	0135-0089
Route of Administration	ORAL	DEA Schedule

Active Ingredient/Active Moiety
Ingredient Name	Basis of Strength	Strength
METHYLCELLULOSE (4000 CPS) (METHYLCELLULOSE (4000 CPS))	METHYLCELLULOSE (4000 CPS)	2 g in 19 g

Inactive Ingredients
Ingredient Name	Strength
CITRIC ACID MONOHYDRATE
ANHYDROUS DIBASIC CALCIUM PHOSPHATE
FD&C YELLOW NO. 6
MALTODEXTRIN
POTASSIUM CITRATE
RIBOFLAVIN
SUCROSE
TITANIUM DIOXIDE
TRICALCIUM PHOSPHATE

Product Characteristics
Color	ORANGE	Score
Shape		Size
Flavor	ORANGE	Imprint Code
Contains

Packaging
#	NDC	Package Description	Multilevel Packaging
1	0135-0089-69	454 g In 1 BOTTLE	None
2	0135-0089-71	850 g In 1 BOTTLE	None

Marketing Information
Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
OTC monograph not final	part334	09/16/2010

Citrucel
methylcellulose powder, for solution

Product Information
Product Type	HUMAN OTC DRUG	NDC Product Code (Source)	0135-0090
Route of Administration	ORAL	DEA Schedule

Active Ingredient/Active Moiety
Ingredient Name	Basis of Strength	Strength
METHYLCELLULOSE (4000 CPS) (METHYLCELLULOSE (4000 CPS))	METHYLCELLULOSE (4000 CPS)	2 g in 10.2 g

Inactive Ingredients
Ingredient Name	Strength
ASPARTAME
ANHYDROUS DIBASIC CALCIUM PHOSPHATE
FD&C YELLOW NO. 6
MALIC ACID
MALTODEXTRIN
POTASSIUM CITRATE
RIBOFLAVIN

Product Characteristics
Color	ORANGE	Score
Shape		Size
Flavor	ORANGE	Imprint Code
Contains

Packaging
#	NDC	Package Description	Multilevel Packaging
1	0135-0090-70	479 g In 1 BOTTLE	None
2	0135-0090-74	907 g In 1 BOTTLE	None
3	0135-0090-75	1191 g In 1 BOTTLE	None

Marketing Information
Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
OTC monograph not final	part334	09/16/2010

Labeler - GlaxoSmithKline Consumer Healthcare LP (828924212)

Revised: 10/2010GlaxoSmithKline Consumer Healthcare LP

More Citrucel resources

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codeine, guaifenesin, and phenylephrine

Generic Name: codeine, guaifenesin, and phenylephrine (KOE deen, gwye FEN e sin, FEN il EFF rin)

Brand Names: Maxiphen CD, Maxiphen CDX

What is codeine, guaifenesin, and phenylephrine?

Codeine is in a group of drugs called narcotics. It is a cough suppressant that affects the signals in the brain that trigger cough reflex.

Guaifenesin is an expectorant. It helps loosen mucus congestion in your chest and throat, making it easier to cough out through your mouth.

Phenylephrine is a decongestant that shrinks blood vessels in the nasal passages. Dilated blood vessels can cause nasal congestion (stuffy nose).

The combination of codeine, guaifenesin, and phenylephrine is used to treat cough, nasal, and sinus congestion, and to reduce chest congestion caused by upper respiratory infections or the common cold.

Codeine, guaifenesin, and phenylephrine may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about codeine, guaifenesin, and phenylephrine?

Do not take this medication if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take cough or cold medicine before the MAO inhibitor has cleared from your body. Do not use any other over-the-counter cough or cold medication without first asking your doctor or pharmacist. If you take certain products together you may accidentally take too much of one or more types of medicine. Read the label of any other medicine you are using to see if it contains guaifenesin or phenylephrine. Codeine may be habit-forming and should be used only by the person it was prescribed for. This medication should never be shared with another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it. Always ask a doctor before giving a cough or cold medicine to a child. Death can occur from the misuse of cough and cold medicines in very young children.

What should I discuss with my healthcare provider before taking codeine, guaifenesin, and phenylephrine?

severe or uncontrolled high blood pressure;

severe coronary artery disease;

enlarged prostate; or

if you are breast-feeding a baby.

If you have certain conditions, you may need a dose adjustment or special tests to safely take codeine, guaifenesin, and phenylephrine. Before taking this medication, tell your doctor if you are allergic to any drugs, or if you have:

heart disease or high blood pressure;

ischemic heart disease (reduced circulation of blood to the heart);

asthma, COPD, sleep apnea, or other breathing disorders;

diabetes;

a thyroid disorder;

glaucoma;

a history of head injury or brain tumor;

epilepsy or other seizure disorder;

liver or kidney disease;

a stomach or intestinal disorder;

Addison's disease or other adrenal gland disorders; or

if you have recently had stomach, bladder, or kidney surgery.

FDA pregnancy category C. This medication may be harmful to an unborn baby, and could cause addiction or withdrawal symptoms in a newborn. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Codeine can pass into breast milk and may harm a nursing baby. The use of codeine by some nursing mothers may lead to life-threatening side effects in the baby. Do not use this medication if you are breast-feeding a baby. Codeine may be habit-forming and should be used only by the person it was prescribed for. Codeine should never be shared with another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it. Codeine is a drug of abuse and you should be aware if any person in the household is using this medicine improperly or without a prescription. Older adults may be more likely to have side effects from this medication.

How should I take codeine, guaifenesin, and phenylephrine?

Take this medication exactly as it has been prescribed by your doctor. Do not use the medication in larger amounts, or use it for longer than recommended. Cough or cold medicine is usually taken only for a short time until your symptoms clear up.

Always ask a doctor before giving cough or cold medicine to a child. Death can occur from the misuse of cough or cold medicine in very young children. Take codeine, guaifenesin, and phenylephrine with food if it upsets your stomach. Call your doctor if your symptoms do not improve after 7 days of treatment, or if you also have a fever, headache, or skin rash.

This medication can cause you to have unusual results with certain medical tests. Tell any doctor who treats you that you are using codeine guaifenesin, and phenylephrine.

Store this medicine at room temperature, away from heat, light, and moisture.

Keep track of how many pills have been used from each new bottle of this medicine. Codeine is a drug of abuse and you should be aware if any person in the household is using this medicine improperly or without a prescription.

See also: Codeine, guaifenesin, and phenylephrine dosage (in more detail)

What happens if I miss a dose?

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. An overdose of codeine can be fatal.

Overdose symptoms may include extreme dizziness or drowsiness, nausea, vomiting, stomach, sweating, confusion, hallucinations, cold and clammy skin, blue-colored lips or fingernails, weak or limp muscles, pinpoint pupils, weak pulse, slow breathing, fainting, or seizures (convulsions).

What should I avoid while taking codeine, guaifenesin, and phenylephrine?

This medication can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

Do not use any other over-the-counter cough, cold, pain, or allergy medication without first asking your doctor or pharmacist. Guaifenesin and phenylephrine are contained in many medicines available over the counter. If you take certain products together you may accidentally take too much of a certain drug. Read the label of any other medicine you are using to see if it contains guaifenesin or phenylephrine.

Avoid drinking alcohol. It can increase some of the side effects of this medication.

Codeine, guaifenesin, and phenylephrine side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop taking this medication and call your doctor at once if you have any of these serious side effects:

severe dizziness, anxiety, restless feeling, or nervousness, tremors;

confusion, hallucinations, unusual thoughts or behavior;

seizure (convulsions);

fast, pounding, or uneven heartbeat;

slow heart rate, weak pulse, fainting, weak or shallow breathing; or

increased blood pressure (severe headache, blurred vision, trouble concentrating, chest pain, numbness, seizure).

Less serious side effects include:

dizziness, drowsiness, headache;

nausea, vomiting;

constipation;

feeling excited or restless;

sleep problems (insomnia);

warmth, tingling, or redness under your skin; or

skin rash or itching.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.

Codeine, guaifenesin, and phenylephrine Dosing Information

Usual Adult Dose for Cough and Nasal Congestion:

Codeine/guaifenesin/phenylephrine 10 mg-400 mg-10 mg oral tablet:
1 tablet orally every 4 to 6 hours not to exceed 6 tablets daily.

Codeine/guaifenesin/phenylephrine 20 mg-400 mg-10 mg oral tablet:
1 tablet orally every 4 to 6 hours not to exceed 6 tablets daily.

Usual Pediatric Dose for Cough and Nasal Congestion:

Codeine/guaifenesin/phenylephrine 10 mg-400 mg-10 mg oral tablet:
6 to 11 years: 1/2 tablet orally every 4 to 6 hours not to exceed 3 tablets daily.
12 years or older: 1 tablet orally every 4 to 6 hours not to exceed 6 tablets daily.

Codeine/guaifenesin/phenylephrine 20 mg-400 mg-10 mg oral tablet:
6 to 11 years: 1/2 tablet orally every 4 to 6 hours not to exceed 3 tablets daily.
12 years or older: 1 tablet orally every 4 to 6 hours not to exceed 6 tablets daily.

What other drugs will affect codeine, guaifenesin, and phenylephrine?

Before taking this medication, tell your doctor if you regularly use other medicines that make you sleepy (such as allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety). They can add to sleepiness caused by codeine or guaifenesin.

Also tell your doctor if you are using any of the following drugs:

medicines to treat high blood pressure;

indomethacin (Indocin);

mecamylamine (Inversine);

methyldopa (Aldomet);

reserpine;

a beta-blocker such as atenolol (Tenormin), carteolol (Cartrol), metoprolol (Lopressor, Toprol), nadolol (Corgard), propranolol (Inderal), sotalol (Betapace), timolol, and others; or

an antidepressant such as amitriptyline (Elavil), clomipramine (Anafranil), imipramine (Janimine, Tofranil), and others.

This list is not complete and there may be other drugs that can interact with codeine, guaifenesin, and phenylephrine. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

More codeine, guaifenesin, and phenylephrine resources

Codeine, guaifenesin, and phenylephrine Side Effects (in more detail)
Codeine, guaifenesin, and phenylephrine Dosage
Codeine, guaifenesin, and phenylephrine Use in Pregnancy & Breastfeeding
Codeine, guaifenesin, and phenylephrine Drug Interactions
Codeine, guaifenesin, and phenylephrine Support Group
0 Reviews for Codeine, guaifenesin, and phenylephrine - Add your own review/rating

Compare codeine, guaifenesin, and phenylephrine with other medications

Cough and Nasal Congestion

Where can I get more information?

Your pharmacist can provide more information about codeine, guaifenesin, and phenylephrine.

See also: codeine, guaifenesin, and phenylephrine side effects (in more detail)